JACOB KEARY


Address: 799 N Hewitt Rd, Ypsilanti, MI 48197-1701
Phone: 7853120294

JACOB KEARY (NPI# 1831656339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831656339
Entity Type Individual
Full Name JACOB KEARY
Credential AT, ATC
Practice Address 799 N Hewitt Rd
Ypsilanti
MI 48197-1701
Mailing Address 2190 Arbor Cir W Apt 103
Ypsilanti
MI 48197-3453
Practice Telephone 7853120294
Mailing Telephone 7853120294
Enumeration Date 2019-02-21
Last Update Date 2020-09-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2601002465 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
909 Chalk Hill Ct, Lawrence, KS 660493004 7853120294

Office Location

Street Address 799 N HEWITT RD
City YPSILANTI
State MI
Zip Code 48197-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124175856 William J. Tuscany Specialist/Technologist 799 N Hewitt Rd, Eastern Michigan University, Ypsilanti, MI 48197-1701 2007-01-04
1528557675 Bryce M Sorrier Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2018-05-03
1649774662 James John Sweet Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2018-03-23
1306379300 Megan Martin Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2017-04-06
1558813964 Steven Berning Emergency Medicine 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2016-11-02
1790230555 Allison Frymier Preventive Medicine 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2016-08-22
1619324175 Julia C Kolder Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197 2016-05-15
1346628534 Eastern Michigan University Health Maintenance Organization 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2015-05-08
1134523673 Katie Skinner Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2014-10-13
1326442856 Bradley Watson Specialist/Technologist 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 2014-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700423092 Devika Dibya Choudhuri Counselor 135 Porter West Circle Drive, Ypsilanti, MI 48197 2019-12-05
1770128837 Brian Lee Shue Registered Nurse 6277 Maplehurst Dr, Ypsilanti, MI 48197 2019-11-13
1639721566 Darlene E Bellers 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 2019-07-11
1073165874 Eastern Michigan University Dietitian, Registered Suite 160 Rackham, Ypsilanti, MI 48197 2019-07-11
1447815469 Rainbow Rehabilitation Centers, Inc. Community Based Residential Treatment Facility, Mental Illness 6200 Textile Rd, Ypsilanti, MI 48197 2019-05-06
1417416298 Justin Brewer Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 2019-03-19
1124519780 Great Lakes Mindfulness LLC Community/Behavioral Health 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 2018-05-19
1841799715 Bedside Angel's Home Care, LLC Home Health 2032 S. Congress Street, Ypsilanti, MI 48197 2018-02-06
1891211777 Brandon James Kukal Specialist/Technologist 799 N Hewitt, Ypslinati, MI 48197 2017-08-22
1669908737 Michael Bekkerman Student in an Organized Health Care Education/Training Program 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 2017-05-10
Find all providers in zip 48197

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295345056 Deland Maurice Mcmullan Jr. Specialist/Technologist 1122 Walnut St, Ypsilanti, MI 48198-3937 2020-08-06
1225692494 Courtney Lynn Ziemba Specialist/Technologist 4554 Sycamore Dr, Ypsilanti, MI 48197-6125 2019-04-23
1538638671 Krista Barnes Specialist/Technologist 2156 Lakeview Dr Apt 260, Ypsilanti, MI 48198-6738 2018-11-19
1750827457 Danielle Darroch Specialist/Technologist 4926 Lakeridge St Apt Tb, Ypsilanti, MI 48197-1424 2017-01-18
1326599556 Jodi Schumacher Specialist/Technologist 318j John W Porter Bldg, Eastern Michigan University, Ypsilanti, MI 48197 2016-10-24
1871946145 Jejuan Quintel French Specialist/Technologist 18 Fairhills Dr, Ypsilanti, MI 48197-7416 2016-07-21
1689030033 Aaron Struminger Specialist/Technologist Eastern Michigan University, 318u Porter Building, Ypsilanti, MI 48197 2016-01-14
1467582171 Anthony John Whiren Specialist/Technologist 7200 Maplelawn Dr., Ypsilanti, MI 48197 2007-03-06
1891822375 Stephen James Nordwall Specialist/Technologist 799 N. Hewitt Road, Convocation Center - Athletic Department, Ypsilanti, MI 48197 2007-02-28
1043368152 Kara Lee Menzel Specialist/Technologist 6239 Hickory Ridge Ct, Ypsilanti, MI 48197-9489 2007-01-08
Find all providers in YPSILANTI

Competitor

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City YPSILANTI
Zip Code 48197

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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